Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.75 / $56.75 / $56.75	Facility	26	$56.75	$56.75	$56.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $99.42 / $144.93	Professional		$90.56	$99.42	$144.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $184.94 / $231.18	Professional		$160.19	$184.94	$231.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $184.82 / $584.30	Professional		$97.75	$184.82	$584.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.57 / $184.82 / $226.13	Professional		$144.57	$184.82	$226.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $145.72 / $171.43	Professional		$106.09	$145.72	$171.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $61.67 / $85.23 / $100.27	Professional	26	$61.67	$85.23	$100.27
United Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $173.57 / $246.97	Professional		$97.75	$173.57	$246.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $216.30 / $216.30	Professional		$176.80	$216.30	$216.30